James R Boivin, MD | NPI 1285720573

Key facts

NPI: 1285720573
Entity type: Individual (NPI type 1)
Primary specialty: Pain Medicine (Anesthesiology) Physician 207LP2900X
Practice address: 4500 Memorial Drive
Belleville, IL 62223
Phone: (618) 257-4076
NPI assigned: Oct 5, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Midwest Anesthesia Providers S.C Anesthesiology Physician · Saint Louis, MO · NPI 1295189082

Medicare reassignment Care Compare group NPD IL · PAIN MEDICINE
Premier Anesthesia of Danville Anesthesiology Physician · Danville, IL · NPI 1366517583

NPD (past) PAIN MEDICINE

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Protestant Memorial Medical Center, Inc. General Acute Care Hospital · Belleville, IL · NPI 1982796181

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Anesthesiology
Education: Creighton University School of Medicine, 1985
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Midwest Anesthesia Providers SC (180 clinicians)

Practice addresses (Care Compare)

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 233-7750

Hospital & facility affiliations

Memorial Hospital Hospital · Belleville, IL · CCN 140185

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040717000071	IL	Practitioner - Anesthesiology	3678466810	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
036078295	IL	MD	Pain Medicine (Anesthesiology) Physician

Practice roles

Organization	Specialty	Status	New patients
Midwest Anesthesia Providers S.C	Pain Medicine	Current since Jan 1, 2023	Accepting new patients
Premier Anesthesia of Danville	Pain Medicine	Past	Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4700 Memorial Dr
Ste 230
Belleville, IL 62226
Phone (618) 212-4414

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine (Anesthesiology) Physician	207LP2900X		IL	Yes

Addresses

Primary practice location

4500 Memorial Drive
Belleville, IL 62223

Mailing address

940 West Port Plaza
Ste 270
St Louis, MO 63146
Phone (314) 453-0600

Other providers in Belleville, IL

All providers in Belleville, IL · Pain Medicine (Anesthesiology) Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.